Paradis C M, Hatch M, Friedman S
Department of Psychology, Kings County Hospital Center, SUNY/Health Science Center at Brooklyn 11203-2098.
J Natl Med Assoc. 1994 Aug;86(8):609-12.
This article discusses issues involved in the diagnosis of anxiety disorders, particularly panic disorder, in African Americans. Although epidemiological studies have shown similar prevalence rates of anxiety disorders among African Americans and non-African Americans, African Americans are underrepresented among those in treatment at mental health settings or serving as clinical research subjects. In addition, few studies have researched the unique demographic, diagnostic, and treatment characteristics of African-American patients with anxiety disorders. Most clinicians therefore are not educated to consider these issues in adapting their treatment approach to affect a more successful treatment outcome for African-American patients with anxiety-disorder. This article identifies and addresses relevant cross-cultural issues.
本文讨论了非裔美国人焦虑症，尤其是惊恐障碍的诊断中所涉及的问题。尽管流行病学研究表明，非裔美国人和非非裔美国人中焦虑症的患病率相似，但在接受心理健康治疗或作为临床研究对象的人群中，非裔美国人的占比却较低。此外，很少有研究探讨患有焦虑症的非裔美国患者独特的人口统计学、诊断和治疗特征。因此，大多数临床医生在调整治疗方法以提高对患有焦虑症的非裔美国患者的治疗效果时，并未接受过考虑这些问题的培训。本文识别并探讨了相关的跨文化问题。
